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MS-DRG/MDC 04/185
MS-DRGMedical

185

MAJOR CHEST TRAUMA WITHOUT CC/MCC

MS-DRG 185 groups Medicare inpatient hospital stays for: MAJOR CHEST TRAUMA WITHOUT CC/MCC. This is a medical MS-DRG. It falls under MDC 04 (Diseases and Disorders of the Respiratory System).

Payment & Classification Data

Official CMS values from the current fiscal year's IPPS Final Rule.

Major Diagnostic CategoryMDC 04 — Diseases and Disorders of the Respiratory System
DRG TypeMedical
Severity LevelNone
Relative Weight0.7865
Relative Weight (10% Cap Applied)0.7865
Geometric Mean Length of Stay2.3 days
Arithmetic Mean Length of Stay2.7 days
Post-Acute Transfer DRGNo
Special Pay Transfer DRGNo

Defining Codes (FY2026)

61 diagnosis codes can drive assignment here: M96.A4, M99.18, S11.021A, S11.022A, S11.023A, S11.024A, S11.025A, S11.029A, S22.31XB, S22.32XB, S22.39XB, S22.41XA and 49 more.

From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.

Contextual Map

Every relationship of 185 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Major Diagnostic Category

  • MDC 04 — Diseases and Disorders of the Respiratory System [MDC]

Defining diagnoses (61)

  • M96.A4 — Flail chest associated with chest compression and cardiopulmonary resuscitation [Grouper diagnosis]
  • M99.18 — Subluxation complex (vertebral) of rib cage [Grouper diagnosis]
  • S11.021A — Laceration without foreign body of trachea, initial encounter [Grouper diagnosis]
  • S11.022A — Laceration with foreign body of trachea, initial encounter [Grouper diagnosis]
  • S11.023A — Puncture wound without foreign body of trachea, initial encounter [Grouper diagnosis]
  • S11.024A — Puncture wound with foreign body of trachea, initial encounter [Grouper diagnosis]
  • S11.025A — Open bite of trachea, initial encounter [Grouper diagnosis]
  • S11.029A — Unspecified open wound of trachea, initial encounter [Grouper diagnosis]
  • and 53 more